NORCAL Mutual Expands Medical Professional Liability Insurance Offerings to Tennessee

November 1, 2017 by matray

NORCAL Mutual Insurance Co. announced that it is now offering coverage to healthcare professionals in Tennessee. This is the latest in NORCAL’s national expansion, which now reaches 39 states, including the District of Columbia.

“We are excited to be a part of the medical community in Tennessee and to introduce healthcare professionals to the NORCAL’s products and exceptional service, which we believe sets us apart,” said Ron Rumin, NORCAL senior vice president and chief operating officer.

NORCAL is policyholder-owned and physician-directed, and along its subsidiaries, insures more than 27,000 physicians nationwide.

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Malpractice Claims Involving Electronic Health Records on the Rise

October 16, 2017 by matray

Malpractice claims in which the use of electronic health records (EHRs) contributed to patient injury have increased continuously during the past decade, according to a study released today by The Doctors Company.
The study reveals that claims in which EHRs are a factor grew from just two between 2007 and 2010 to 161 from 2011 through December 2016. Typically, the EHR is a contributing factor in a claim, rather than the primary cause, according to David B. Troxel, MD, study author and medical director at The Doctors Company. It's the second study of its kind by The Doctors Company, which recognized early on that despite the potential of EHRs to advance the practice of good medicine and patient safety, there would be unanticipated consequences from this rapidly adopted new technology. The latest research compares 66 claims made from July 2014 through December 2016 with the results of the first study of 97 claims from 2007 through June 2014. Compared with the earlier research, the new study shows:
  • System factors that contributed to claims — such as technology and design issues, lack of integration of hospital EHR systems, and failure or lack of alerts and alarms — increased 8 percent.
  • User factors — such as copy-and-paste errors, data entry errors, and alert fatigue — decreased 6 percent.
  • More EHR-related claim events are occurring in patient rooms and fewer are occurring in hospital clinics/doctors' offices, ambulatory/day surgery centers, labor and delivery as well as emergency rooms. However, hospital clinics/doctors' offices remain the top location for these events.
  • Internal medicine, hospital medicine and cardiology showed marked decreases among specialties involved in claims.
  • Family medicine and nursing also showed decreases.
  • Orthopedics, emergency medicine and obstetrics/gynecology showed increases.
"While digitization of medicine has improved patient safety, it also has a dark side—as evidenced by the emergence of new kinds of errors," said Robert M. Wachter, MD, professor and chair, Department of Medicine, University of California, San Francisco. "This study makes an important contribution by chronicling actual errors, such as wrong medications selected from an autopick list, and helps point the way to changes ranging from physician education to EHR software design."

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Medical Liability Monitor’s 2017 Annual Rate Survey Indicates a 1.1 Average Rate Decrease Among Medical Malpractice Insurers Despite Underwriting Challenges

October 4, 2017 by matray

Chicago — According to just-released data from the 2017 Medical Liability Monitor Annual Rate Survey, the medical professional liability (medical malpractice) insurance industry’s collective mature, base-rate premiums experienced an overall average decrease of 1.1 percent from last year. More specifically, Internal Medicine rates decreased 1.1 percent, General Surgery rates decreased 1 percent and OB/Gyn rates decreased by 1 percent. “The slight average decrease in mature, base-rate medical malpractice insurance premiums marks a continuation of the medical professional liability insurance industry’s historic soft market,” said Michael Matray, editor of Medical Liability Monitor. “What’s interesting is that the market continued to soften at the same time the industry’s combined ratio crept above 100 percent for the first time in a decade. The question is how long can insurers be aggressive with pricing in the face of slipping underwriting results.” For the overwhelming majority (74.2 percent) of insurers participating in this year’s Annual Rate Survey, rates remained flat between 2016 and 2017, very similar to the percentage with no manual change shown between 2015 and 2016 (75.2 percent). The next largest segment of rate change was increases within the 0.1 percent to 9.9 percent (13.3 percent). When reported medical malpractice insurance rates are broken down regionally, the only region reporting an average rate increase is the Northeast region – due to a 12-percent increase in the Pennsylvania PCF surcharge and Maine reporting a 2.5-percent increase. In the South, decreases in Texas and Virginia of 3 percent and 3.6 percent, respectively, and increases in Florida, Georgia and South Carolina of 1.5 percent, 1 percent and 1.8 percent, respectively, combine for an overall decrease for the region of 0.9 percent. The change reported for the Midwest is a 2.1 percent decrease. Kansas, Michigan, Missouri and Ohio all reported decreases around 5 percent. A very slight decrease (0.3 percent) was reported for Illinois due to one carrier reducing the rate for the OB/Gyn specialty. Nebraska and Indiana are each reporting increases of roughly 3 percent, but the increase in Nebraska is driven by an 18 percent increase in the PCF charge. The two states with the largest reported changes are in the West region — Hawaii and Montana — report average decreases of 9 percent and 7.2 percent, respectively. In New Mexico, the PCF surcharge increased by 9.3 percent, while the primary carriers are holding rates flat, driving an increase for the state of about 1.3 percent.

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Medical Liability Monitor is the only independent publication reporting exclusively on the medical professional liability insurance and risk management industries. The monthly newsletter, founded in 1975, has conducted the Annual Rate Survey since 1991. To order the Annual Rate Survey or to subscribe to the monthly newsletter, visit www.mlmonitor.wpengine.com or call 312-944-7900.        

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MedPro Group Announces Acquisition of Leading UK Provider of Contractual Medical Indemnity Insurance

October 3, 2017 by matray

Berkshire Hathaway International Insurance Limited (BHIIL) and MedPro Group Inc. (MedPro) announced today the addition of Premium Medical Protection Ltd. (PMP) to the Berkshire Hathaway group of healthcare liability companies. BHIIL, MedPro and PMP have been working together since 2014 to deliver contractual medical indemnity insurance as well as patient safety and risk management solutions to private practice consultants and surgeons in the United Kingdom. Subject to regulatory approvals, this transaction is expected to close by year-end. “PMP was created nearly a decade ago to provide UK consultants and surgeons with the best contractual medical indemnity insurance and patient safety solutions available,” said Juliet Bentley, PMP’s founder and CEO. “Our combination of top customer service, winning defense and leading contractual insurance protections have resulted in delighted customers and sustained PMP growth. Joining BHIIL/MedPro Group in the Berkshire Hathaway group of companies offering healthcare liability solutions continues our mission and allows us to further expand our capabilities and services to even more healthcare providers throughout the UK.” With offices in Leamington Spa, Glasgow and London, PMP and its BHIIL/MedPro partners serve nearly 2,000 private practice consultants and surgeons throughout the UK. Ms. Bentley will remain as president, and its employees and operations will continue as is. “We are delighted to be able to work even more closely with PMP, and – with this acquisition – further highlight and strengthen the Group’s commitment to the UK medical malpractice market,” said John Bartlett, BHIIL/MedPro International vice president. “The Group will be a great home for PMP and its dedicated employees.”

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The Doctors Company Hires New Head of Underwriting

October 3, 2017 by matray

The Doctors Company announced today the selection of Crystal R. Brown as senior vice president of underwriting, effective immediately. In her new role, Brown leads the company's underwriting operations nationally, reporting directly to Bill Fleming, TDC's chief operating officer. Brown most recently served as healthcare zone leader for CNA Insurance in Chicago. At CNA, she oversaw a team of underwriting professionals at 10 branch offices who focused on the healthcare segment, including community and specialty hospitals, academic medical facilities, allied healthcare, accountable care organizations, large medical and academic groups, skilled nursing homes, assisted living centers, independent living facilities, life plan communities and life science companies. “We are very excited to have Crystal join The Doctors Company’s leadership team,” Fleming said. “With her broad experience with many types of healthcare organizations, she brings a deep understanding of the ever-changing healthcare environment and expertise in developing solutions for technically complex healthcare accounts across the enterprise. She will be a great asset in our work to provide expert guidance, resources, and coverage to our members no matter how they practice.” Brown has more than 25 years of underwriting experience. She held several roles at CNA, including assistant vice president, underwriting director and senior underwriter. She also previously worked as a healthcare specialist for Continental Insurance Company in New York prior to the merger with CNA. She is a graduate of the Advanced Leadership Program at Kellogg School of Management in Chicago, and she earned an MPA in Health Services Management from New York University as well as a bachelor’s degree in English from Amherst College in Amherst, Massachusetts. “I am honored to have been selected by The Doctors Company to lead, collaborate with and motivate the teams and regions to grow our membership and expand our capabilities,” Brown said. “I fully support and am encouraged by our mission to advance, protect and reward the practice of good medicine. I look forward to working on unique solutions for our members.”

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The Doctors Company Expands Presence in New York Medical Malpractice Market as Admitted Insurer

September 29, 2017 by matray

The Doctors Company announced yesterday that it is now offering coverage on an admitted basis to New York healthcare providers. The New York Department of Financial Services’ recent approval of the company’s manual rate and secondary filings officially confirmed the company’s expanded presence. The Napa, Calif.-based insurer of medical liability is promising a wide variety of benefits to New York members. These benefits include risk management courses required by the state for physicians to maintain Section 18 excess eligibility, excess and primary coverage through a single carrier, coverage for both physicians and ancillary healthcare providers as well as professional and management liability policies for a variety of organizations and healthcare professionals — including medical and longterm care facilities, managed care organizations and life sciences — through its specialty lines subsidiary, TDC Specialty Underwriters.

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ISMIE Expands its Product and Service Lines in Missouri

September 29, 2017 by matray

ISMIE Mutual Insurance Co. and ISMIE Indemnity announced plans yesterday for expanded service and product offerings in the state of Missouri. With a recent updated rate filing, the companies will offer medical liability coverage for individual health professionals, groups and healthcare facilities. ISMIE plans to pursue new business in Missouri as a component of its national expansion plan.

“For many years, we at ISMIE have been proud to serve our Illinois policyholders who have extended their practices into the state of Missouri,” saidPaul H. DeHaan, MD, ISMIE vice chairman. “Today, we’re very pleased to offer Missouri-based professionals our entire suite of products and services that have been developed and provided over 40 years in one of the toughest medical litigation environments in America.”

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ISMIE Expands Michigan Footprint

September 21, 2017 by matray

ISMIE Mutual Insurance Co. and ISMIE Indemnity announced plans today for expanded service and product offerings in the state of Michigan. With a recent updated rate filing, the companies will offer medical liability coverage for individual health professionals, groups and healthcare facilities.

“ISMIE has had a Michigan presence for many years; today we are proud to announce an expansion in the state,” saidPaul H. DeHaan, MD, ISMIE vice chairman. “We expect a strong response from health professionals, groups and facilities as they become familiar with ISMIE’s service offerings.”

“Our risk management program, claims support and practice-specific coverage flexibility have made us No. 1 in Illinois and will address the needs of policyholders in the national marketplace,” said Wayne de Nazarie, ISMIE executive vice president. “We are excited to work with our agency partners to offer flexible medical liability coverage options for Michigan health professionals and across care delivery settings.”

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ISMIE Risk Management Symposium to Examine Emerging Risks in Patient Safety, Medical Professional Liability

September 19, 2017 by matray

ISMIE Mutual Insurance Co. announced its 2nd Annual Risk Management Symposium: Emerging Risks. This daylong conference will be held November 17 at the Hyatt Regency O’Hare in Rosemont, Ill., and is open to all interested healthcare professionals and administrators.

This year’s symposium will feature keynotes and individual breakout sessions focusing on changing care models, patient safety, genetic testing, opioid abuse, polypharmacy, pharmacogenomics, cybersecurity, health IT and more. Speakers this year will include Amy Compton-Philips, MD; Wendy Chung, MD, PhD; Alex Ricardo; Ryan R. Nash, MD, MA; Geeta Nayyar, MD, MBA; Russ B. Altman, MD, PhD; and Tejal K. Gandhi, MD, MPH, CPPS.

“This conference underscores our longstanding commitment to developing innovative, effective risk management education,” saidPaul H. DeHaan, MD, ISMIE vice chairman. “We’ve built on last year’s highly successful inaugural symposium and will be bringing together a new line-up of nationally recognized speakers to examine the risks and opportunities on the horizon for all healthcare professionals.”

“As ISMIE continues to expand nationwide, we’re very pleased to offer our approach to patient safety to an even wider audience,” he added.

ISMIE policyholders can attend the symposium for free. Substantial discounts are available for Illinois State Medical Society members and employed staff of ISMIE policyholders. Additional early-bird savings are available to those who register before October 1.

Visit www.ismierms.com for more information.

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NORCAL Provides Premium Relief for Florida, Georgia Policyholders Through November 1

September 13, 2017 by matray

Due to the severe impact and debilitating effects of Hurricane Irma, NORCAL Mutual Insurance Company is providing premium payment relief to all policyholders throughout Florida and Georgia. NORCAL will extend premium payment due dates for those impacted by Hurricane Irma until November 1 to ensure policyholders are able to work through the aftermath of the storm without any disruption of coverage.  Additionally, no cancellations will be issued during this grace period to those affected by the storm.

“Our thoughts and prayers are with our policyholders and business partners affected by this storm and as they face a long road of recovery ahead,” NORCAL President and Chief Executive Officer Scott Diener said. 

For medical practices that experience high water damage, NORCAL’s risk management team has provided actionable tips for protecting patient data that may be damaged. These disaster recovery resources can be found on the NORCAL website at norcal-group.com/Irma.

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